Individual provider · Type 1 NPI

Liliana Fazendeiro, PTA

Physical Therapy Assistant · Sag Harbor, NY

NPI number 1992775613 Active

Practice location

34A Bay St
Sag Harbor, NY 11963-3104

Mailing address

15 Valorie Rd
Southampton, NY 11968-2308

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X020287 (NY)
Physical Therapy Assistant Primary 225200000X0057821 (NY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1992775613

Liliana Fazendeiro, PTA's National Provider Identifier is 1992775613, issued on Jan 25, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sag Harbor, NY. The record was last updated on Aug 22, 2023.